Regional Director Clinical Operations

Regional Director Of Clinical Operations

Put your talents to work at PCM! Whether you work in our Home Care, Clinical Research, Impairments, or Catastrophic Care division, you will support our mission to deliver care and other services that enhance the quality of life of our clients. Be a part of our dynamic client-focused team and make a difference in your career!

Responsible for leading the region's health services and respective clinical leaders. Manages, supervises, coordinates, evaluates, and develops client care teams to ensure quality care delivery and appropriate case management within the Company's scope of services and policies; state, federal, and local laws; and Nurse Practice Act. The Regional Director of Clinical Operations shall be available at all times during operating hours and participate in all activities relevant to the professional clinical services furnished, including the development of qualifications and the assignment of personnel.

The RD may be required to travel to assigned outlying regions and client sites.

• Graduate of a state-approved school of professional nursing
• Current unblemished and unrestricted license as a Registered Nurse in the state(s) of practice
• BSN or MSN preferred
• Minimum of five (5) years nursing experience including home care or closely related service
• Minimum of three (3) years of management experience preferred
• One to two (1-2) years case management experience preferred
• Complies with accepted professional standards and practice
• Excellent communication (verbal and written), interpersonal and leadership skills, and strong business acumen.
• Demonstrates organizational, facilitative and assertiveness skills, flexibility and the ability to work effectively in teams.
• Strong analytical skills and ability to summarize and present data and statistics.
• Knowledge of home care federal and state regulations
• Knowledge of reimbursement sources and documentation requirements within home health care
• Must be a licensed driver with automobile insured in accordance with Company and state requirements
• Current CPR certification
• Ability to travel

• Independently manage and direct a team of Nurse Case Managers ensuring safe, effective, and appropriate home care services.
• Oversee the management and fiscal affairs for the assigned region.
• Coordinate and ensure performance improvement activities for assigned regions and is a member of the performance improvement committee.
• Recommend region-specific performance improvement activities indicated from review of occurrences and others performance indicators.
• Report complaints and grievances, occurrences, and infections per Company policy.
• Review Company policies and procedures and recommend changes or revisions as needed and disseminate policy changes to assigned personnel
• Receive client referrals, determine services required and Agency's ability to meet those requirements.
• Assign appropriate clinical personnel to clients.
• Meet with case managers/clinical personnel on a regular basis to provide guidance, information related to specific issues, and education.
• Provide direction to teams to ensure that client needs are met and services are provided according to the plan of care.
• Assure supplies and equipment are available and maintained in working order.
• Assist clinical personnel in establishing priorities, setting goals, and evaluating progress toward goals.
• Attend case conferences and other clinical meetings to facilitate coordination of care as indicated.
• Collaborate with administration to establish departmental priorities and budgetary needs.
• Keep any local contracts current.
• Review productivity of clinical personnel monthly.
• Ensure 24-hour coverage by registered nurses and evaluates quality of on-call services.
• Develop working relationships with other health care professionals in the community in order to identify resources available and to ensure access to client information
• Provide support and direction to clinical personnel, other health care professionals, contractors, volunteers, clients, and families related to appropriate and available health care resources.
• Educate and assure staff, contractors and volunteers comply with clinical services, policies, and procedures.
• Coordinate provision of continuing education programs.
• Facilitate problem-solving sessions to enable case managers and other personnel to resolve client and/or reimbursement source issues.
• Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities.
• Ensure accuracy, completeness, and timeliness of agency and clinical documentation in accordance with policies and procedures, regulatory requirements, and industry standards.
• Monitor clinical records of open and closed cases regularly, and participates in quarterly clinical record review.
• Provide leadership to team and support staff in identifying /client needs and opportunities for quality improvement.
• Assist with…